Tamil Nadu E-Sevai Owners Welfare Association

Membership Registration Form

Personal Details

Full Name *

Father / Mother Name *

Date of Birth

Gender

Blood Group

Mobile Number *

Email Address *

Password *

Confirm Password *

Address Details

Address *

District *

Taluk *

Pincode *

Professional Details

Occupation *

Designation Required? *

Membership Fee

₹1

Normal Member : ₹1
Designation Required : ₹2

Document Upload

Passport Size Photo * Only JPG, JPEG & PNG

Aadhaar Card * Image or PDF

Shop Photo * Front View of Shop

Membership Summary

Membership Type	Normal Member
Registration Fee	₹999
Payment Method	UPI QR Code
Payment Status	Pending

I hereby declare that all the information provided by me is true and correct. I understand that my membership will be processed only after successful payment verification by the Association.